Most Relevant Information
Provider Data
| NPI Number: | 1003819970 |
| Provider Name: | ROGER W. THOMPSON D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 10578 |
Most Important Dates
| Enumeration Date: | 05/24/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
201 N RIVERSIDE AVE
ST CLAIR
MI
480795491
Practice Location Phone/Fax
| Phone: | 8103292289 |
| Fax: |
Provider Mailing Location
201 N RIVERSIDE AVE
ST CLAIR
MI
480795491
Provider Mailing Phone/Fax
| Phone: | 8103292289 |
| Fax: |